CAJ | 학술논문

目的：初步探索围绝经期女性元认知的相关因素。方法纳入2012年10月至2013年6月广告招募的围绝经期女性志愿者66名，以元认知问卷30项版（metacognition questionnaire，MCQ-30）评估被试认知自信（F1）、积极信念（F2）、认知自我意识（F3）、失控与危险（F4）和控制思想的需要（F5）等5个维度的元认知水平，以艾森克人格问卷（Eysenck personality questionnaire，EPQ）评估被试内外倾向性（E）、神经质（N）、精神质（P）和掩饰性（L）等个性心理特征，以Zung抑郁自评量表（self-rating depression scale，SDS）评估被试核心、认知、焦虑和躯体症状等抑郁症状。分析MCQ各因子与人口学资料、EPQ和SDS间的关系。结果 F1和受教育年限（β’=-0.229，P=0.035）、N分（β’=0.255，P=0.042）及L分（β’=-0.292，P=0.021）相关联；F2与受教育年限（β’=-0.260，P=0.031）、N分（β’=0.248，P=0.039）相关联；F3与SDS核心症状（β’=-0.251，P=0.037）及焦虑症状（β’=-0.248，P=0.039）相关联；F4与体质量指数（β’=0.211，P=0.048）、L分（β=0.511，P<0.001）相关联；F5与P分（β’=0.299，P=0.015）相关联。结论围绝经期女性元认知水平受其个性特征、受教育年限等多种因素影响，对认知过程的自我意识水平较低、自信心较差可能与其抑郁易感性有关。
목적：초보탐색위절경기녀성원인지적상관인소。방법납입2012년10월지2013년6월엄고초모적위절경기녀성지원자66명，이원인지문권30항판（metacognition questionnaire，MCQ-30）평고피시인지자신（F1）、적겁신념（F2）、인지자아의식（F3）、실공여위험（F4）화공제사상적수요（F5）등5개유도적원인지수평，이애삼극인격문권（Eysenck personality questionnaire，EPQ）평고피시내외경향성（E）、신경질（N）、정신질（P）화엄식성（L）등개성심리특정，이Zung억욱자평량표（self-rating depression scale，SDS）평고피시핵심、인지、초필화구체증상등억욱증상。분석MCQ각인자여인구학자료、EPQ화SDS간적관계。결과 F1화수교육년한（β’=-0.229，P=0.035）、N분（β’=0.255，P=0.042）급L분（β’=-0.292，P=0.021）상관련；F2여수교육년한（β’=-0.260，P=0.031）、N분（β’=0.248，P=0.039）상관련；F3여SDS핵심증상（β’=-0.251，P=0.037）급초필증상（β’=-0.248，P=0.039）상관련；F4여체질량지수（β’=0.211，P=0.048）、L분（β=0.511，P<0.001）상관련；F5여P분（β’=0.299，P=0.015）상관련。결론위절경기녀성원인지수평수기개성특정、수교육년한등다충인소영향，대인지과정적자아의식수평교저、자신심교차가능여기억욱역감성유관。
Objective This preliminary study aimed to investigate relevant factors of the metacognition of peri?menopausal women. Methods Total 66 perimenopausal women voluntarily participated in this study from October 2012 to July 2013. The Metacognitions Questionnaire 30-item version (MCQ-30) was used to assess metacognition from 5 di?mensions including cognitive confidence (F1), positive beliefs (F2), cognitive self-consciousness (F3), uncontrollability and danger (F4), and need to control thoughts (F5). Eysenck Personality Questionnaire was utilized to measure the person?ality characteristics such as the extraversion/introversion (E), neuroticism/stability (N), psychoticism/socialization (P), and lie (L). Depression and its 4 symptom components including core, cognitive, anxiety, and somatic symptoms were deter?mined by Zung Self-rating Depression Scale (SDS). The linear multiple stepwise regression were performed to analyze the relevant factors of each MCQ dimension. Results The education level (β’=-0.229, P=0.035), N score (β’=0.255, P=0.042), and L score (β’=-0.292, P=0.021) were related to F1. The education level (β’=-0.260, P=0.031) and N score (β’=0.248, P=0.039) were predictors of the dependent variable F2. The core depression symptom (β’=-0.251, P=0.037) and anxiety symptom (β’=-0.248, P=0.039) of SDS were negatively related to F3. Predictors of F4 were the body mass in?dex (β’=0.211, P=0.048) and L score (β’=0.511, P<0.0001). Only P score (β’=0.299, P=0.015) was related to F5. Con?clusion The metacognition level of perimenopausal women is affected by a variety of factors such as personality character?istics and education level, and low self-consciousness and lack of confidence to the cognitive process may be involved in the increased susceptibility to depression.